Civil Protection

August 2, 2019

It is possible that the operational Royal is sensible and argued, but also seems to be that to this day, many agencies (Red Cross, Civil Protection) continue to rely on a technique of urgent/preventive (in the 48 hours after the traumatic event) intervention called debriefing which, curiously, is not only ineffective but in some cases counterproductive (Rose et al.: Cochrane Database of Systematic Reviews 2002; and the aforementioned revision). Therefore, firstly, we have that most people do not develop PTSD (and without professional help; psychotherapy can be so redundant and narcissistic as these recipes of fluoxetine when the bride leaves you). Continue to learn more with: Michael Dell. Secondly, for those who need therapy there are procedures with different levels of effectiveness (and any potentially patologizante). And finally, the essential question: by what that differential effectiveness?. It makes a few months, an article in Nature entitled Preventing the return of fear in humans using reconsolidation update mechanisms shows how Schiller et al. (including LeDoux) work experimentally inducing a post-traumatic footprint then addressed therapeutically through simple extinction, or through explicit and deliberate reactivation of fear before the stage of extinction (taking advantage because of that State’s particular vulnerability that allows their modification prior to reconsolidarse again), either to the 6 hours or 10 minutes later. It is this latter group that presents a disappearance (erasing) fear highly specifically and even maintained a year later (there are already references using substances to induce a fear memory extinction, but this time is to hair, without drugs). According to Schiller, the Group of 10 minutes rewrites the original traumatic memory with information no-miedo footprint; the other two simply create a new memory, in competition with the traumatic, that sometimes shifts to this but sometimes not, or only partially. Although they are clearly experimental conditions of work with fears of conditioned and not exactly a clinical picture of PTSD can surmise sensibly: we know that we don’t remember the original event, but his rewrite after the last time that we agreed to the memory; and that for an effective therapy is necessary to reactivate the trauma, but not as mere Freudian catharsis but as forced step we open the window that allows rewriting the details and meaning of the memory (in reciprocal interaction) before reconsolidarla (Incidentally, this makes more understandable the mysterious EMDR, at least in part).

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